Efficient and effective patient care requires networking beyond the sectoral boundaries, both outpatient and inpatient. Through the creation of regional networks of GP surgeries, care centres, specialists, clinics and nursing, multifunctional system structures of the health care system for specialist-led decision-making emerge. In addition, tasks in prevention and follow-up of defined diagnoses and in particular multimorbid patients can be performed.

A lack of coordination between outpatient, inpatient and social care makes comprehensive care concepts difficult. Therefore, the establishment of regional coordination centres is highly recommended. In particular, future rural care can only work if it is better organised and crosses sectoral boundaries. In addition to the already existing subsidiary opening of hospitals’ outpatient clinics through the connection of MVZ and portal practices, the realisation of a coordinative institution creates the possibility of networking existing care structures and of organising necessary interactions. Thus, existing facilities such as rescue centres and / or KV emergency service centres are by no means to be replaced.


A coordination centre acts as a supplement for issues that cannot be properly and professionally fulfilled by the existing facilities. Above all, the additional networking with telemedicine methods offers a high degree of organisational and patient safety, because specialists can be involved at any time where their expertise is needed. Through the organisation of interdisciplinary patient conferences (family doctor + nursing + specialist + physiotherapy, etc.), comprehensive care structures emerge which do not exist in the “divided” world of the sectors known to this day.

  • Structured processes of secondary and tertiary prevention and coordination of issues help to avoid revolving door effects
  • GPs are relieved by non-medical assistance services (NäPa, VERAH, etc.) using telemedicine-oriented procedures, technologies and processes, and the work of non-medical assistants is supported by the coordination of the Network Centre.
  • Nursing services save effort and time to clarify medical issues
  • Patient flows are controlled according to the “best point of care” principle, which significantly influences the overflow of emergency rooms.